Z92.26

Z92.26: Personal history of immune checkpoint inhibitor therapy

Billable / specific codeICD-10-CMPOA exempt

Z92.26 is a billable, specific ICD-10-CM code for personal history of immune checkpoint inhibitor therapy. It is valid for submission on a claim.

Check Z92.26 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Personal history of ICI drug therapy

Excludes2 inherited from the categories above Z92.26

Not part of this code, but both may be coded when both are present.

Written on Z92.2: Personal history of drug therapy

long term (current) drug therapy (Z79.-)

Written on Z92: Personal history of medical treatment

postprocedural states (Z98.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z92.26 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56907Billing and Coding: Bisphosphonate Drug Therapy
A56948Billing and Coding: Lab: Cystatin C Measurement
A57189Billing and Coding: Serum Magnesium

Alphabetic index entries that lead here

History›personal›ICI drug therapy(immune checkpoint inhibitor)
History›personal›immune checkpoint inhibitor therapy(ICI)
History›personal›drug therapy›ICI drug therapy(immune checkpoint inhibitor)

Code history

addedFY2024-FY2027
Personal history of immune checkpoint inhibitor therapy